AVOMD: A NOVEL CLINICAL DECISION SUPPORT TOOL TRANSFORMING DELIVERY OF HEALTHCARE AND MEDICAL EDUCATION

ABSTRACT

SETTING AND PARTICIPANTS: AvoMD can be used in any context, including general internal medicine inpatient and outpatient settings. It can be used by clinicians at all levels of training from residents to senior attendings. DESCRIPTION AvoMD is a platform that transforms clinical content - guidelines, algorithms, pathways, and checklists - into decision support highly usable, interactive apps available on mobile and web, and is capable of Electronic Health Record (EHR) integration. In addition, the AvoMD platform facilitates a builder community for its users to advance clinical decision tools through peer collaboration. EVALUATION AvoMD has been evaluated at multiple levels, including its impact on clinical decisions and learner engagement. In a randomized control trial focused on ABG interpretation, the use of AvoMD software improved diagnostic accuracy by 20% while saving clinicians 45% of their time in information retrieval (1). Initial studies also showed the potential of this software to provide just-in-time learning for obstructive sleep apnea, diabetic ketoacidosis, and COVID-19 illness (2-4). Furthermore, avoMD analytics can provide insights on how trainees engage with guidelines and inform educators with valuable feedback to precisely modify their instruction to different cohorts of learners. (1) Cha, J, et. al "Randomized control trial of avoMD clinical decision support at Samsung Medical Center for ABG" in Press (2) Park, Joongheum, and Hwan Kim. "Evidence-Based App for the Evaluation and Treatment of OSA Development of a Mobile App by Two Medical Residents." Chest 152.4 (2017) A1079. (3) Saperstein, Yair, Joongheum Park, and Samy I. McFarlane. "Closing the Mortality Gap in Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State Implications of a Clinical Decision Support App." International journal of clinical endocrinology and metabolism 4.1 (2018) 8. (4) Saperstein, Yair, et al. "COVID-19 Guidelines Changing Faster than the Virus Implications of a Clinical Decision Support App." International journal of clinical research & trials 5.2 (2020). DISCUSSION / REFLECTION / LESSONS LEARNED AvoMD is leading innovation in medical education through its dynamic platform that functions as a virtual clinical consult for any clinician, provides just-in-time learning to trainees, and empowers educators to identify gaps in knowledge of their trainees through robust analytics. Feedback through data builds a new generation of learners and educators who are technology-forward. In addition, avoMD provides a novel platform for conducting research to improve clinical decision making. AvoMD builder community fosters a space for trainees and educators to create their own algorithms (at no cost) based on the latest guidelines and share them with colleagues within or across institutions. Collaboration for just-in-time learning can transform the way medical education and healthcare are delivered.